Powerful Energetic Medicines Intro Form
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( PLEASE SIGN ) I Understand that Healing with Carina Cariñosa and choosing to work with The Carina Carinosa Foundation is a voluntary practice for which it stand free from all liability. I agree to participate at my own risk & agree to use my own best judgement, and be my own best advocate. I will speak to the administrator directly first if I have any questions or feel uncomfortable about proposals, suggestions, protocals, or referrals. I understand that when it comes to safety from any possible injuries or side effects that could possibly occur while receiving care from this provider, staff, volunteers, contractors, or referrals, I will discuss and share my concerns. I agree to remain honest about my true identity including, but not limited to: birth name; my true background such as resume, financial, social, & relationship history; remain respectful of objects in the providers' place of work should we conduct in-person meetings.
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The Carina Carinosa Foundation
